Staff Position

Registered Nurse (RN) - Case Management
Kaiser Permanente
Panorama City, CA
3x8 hrs, Evenings

$60-73/hour

Overview

  • Shift Breakdown3x8 hrs
  • ShiftEvenings

Pay

Estimated pay
$60-73/hour

Qualifications

The employer will review your Vivian profile and compare it against the job qualifications listed below.
Required
    Other
  • Eligible to work in US

Description

Sign On Bonus for Eligible External Hires 
Job Summary:

Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment.



Essential Responsibilities:

  • Plans, develops, assesses and evaluates care provided to members.

  • Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use.

  • Recommends alternative levels of care and ensures compliance with federal, state and local requirements.

  • Assesses high risk patients in need of post-hospital care planning.

  • Develops and coordinates the implementation of a discharge plan to meet patients identified needs.

  • Communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies.

  • Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently.

  • Participates in the Bed Huddles and carries out recommendations congruent with the patients needs.

  • Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.

  • Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and non-KFH facilities.

  • Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred.

  • Refers patients to community resources to meet post hospital needs.

  • Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation.

  • Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL.

  • Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources.

  • Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness.

  • Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities.

  • Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities.

  • Coordinates, participates and or facilitates care planning rounds and patient family conferences as needed.

  • Participates in committees, teams or other work projects/duties as assigned.

Basic Qualifications:
Experience

  • Two (2) years combined RN experience in an acute care setting or case management required.


Education

  • Completion of an accredited RN training program that allows graduates to take RN license exam.


License, Certification, Registration

  • Registered Nurse License (California)



  • Basic Life Support


Additional Requirements:

  • Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.

  • Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).

  • Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills.

  • Demonstrated ability in planning, organizing, conflict resolution and negotiating skills.

  • Computer literacy skills required.


Preferred Qualifications:

  • Bachelors degree in nursing or healthcare related field.


Notes:



  • weekday work schedule with weekend Saturday and Sunday, ED and Inpatient

Mayra Loza
Kaiser Permanente Job ID #1303827. Posted job title: Case Manager Utilization Rn, 24/Hr Day

Employer

Kaiser Permanente

5.0rating(2 reviews)
Compensation
5.0rating
Culture
5.0rating
Work Environment
5.0rating
5.0rating
Anonymous
Anonymous
Monitor Technician (Allied Health Professional)
Review of Kaiser Permanente on Oct 3, 2024
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About
At the heart of health care, you'll find Kaiser Permanente. As the nations leading not-for-profit, integrated health plan, we make a difference in the lives of members, patients, and communities across the country.With 39 hospitals and more than 734 locations in eight states and the District of Columbia, we proudly serve more than 12.7 million members from coast to coast. Whether you choose to join a hospital in the Northwest, a clinic in Southern California, or a medical office in the Mid-Atlantic, we have many opportunities for you to shape the future of care.Our teams are empowered to advance impactful and extraordinary care for all by pioneering health outcomes, encouraging diverse viewpoints, and creating new opportunities for learning and advancement. This covers more than our members and our employees; it also reaches far into our communities. Together, we're proudly working as one for a healthier today and tomorrow.
Response timewithin an hour
Staff jobs$23–149/hour
Local contracts$23–149/hour
Per Diem / PRN roles$23–149/hour
Jobs on Vivian965
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Panorama City, CA

About

Los Angeles needs no introduction as a world-famous destination known for its endless sunshine, golden beaches and television and movie industries. Tour the sights in Hollywood, an L.A. suburb long associated with glitz, glamour and big-name celebrities. Stroll the Hollywood Walk of Fame and, during a major film screening at the former Grauman's Chinese Theatre, stand outside to watch the arrival of the stars. You can shop like Julia Roberts in Pretty Woman along Rodeo Drive in Beverly Hills or perhaps dine with some of the rich and famous at Craig's, where everyone from Kim Kardashian to George Clooney has been spotted enjoying a meal. The shopping and dining opportunities are nearly endless in Los Angeles. There’s no shortage of thrills here and throughout the surrounding area, with many amusement parks like Universal Studios, Six Flags Magic Mountain and Disneyland.

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